| NPI | 1437345709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D63380) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD036892) |
| 207N00000X Dermatology (Licence: VA 0101245220) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2015-08-20 |